| Christopher Julian-fralish | |
|
5736 Tomah Drive Ste 200 Colorado Springs CO 80918 | |
| (719) 999-5073 | |
| (719) 334-9250 |
| Full Name | Christopher Julian-fralish |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5736 Tomah Drive, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christopher James Julian-fralish (OWNER) |
| Authorized Official Contact | 7199995073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Julian-fralish 5736 Tomah Drive Ste 200 Colorado Springs CO 80918 Ph: (719) 999-5073 | Christopher Julian-fralish 5736 Tomah Drive Ste 200 Colorado Springs CO 80918 Ph: (719) 999-5073 |
| NPI Number | 1396231494 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 5799032132 |
|---|---|
| Medicare Enrollment ID | O20180717002488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396231494 | NPI | - | NPPES |
| CSW.09925316 | Other | CO | STATE OF COLORADO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW.09925316 (Colorado) | Primary |
| Provider Name | Christopher James Julian-fralish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740638998 PECOS PAC ID: 6608123047 Enrollment ID: I20180717002556 |
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